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Individual

KEVIN MARK HOUCK

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MPT

Contact information

Practice address
301 ANDREWS AVENUE, LYSTER ARMY HEALTH CLINIC, FORT RUCKER, AL 36362
(334) 255-7387
Mailing address
301 ANDREWS AVENUE, LYSTER ARMY HEALTH CLINIC, FORT RUCKER, AL 36362
(334) 255-7387

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT014155L
PA

Other

Enumeration date
10/25/2005
Last updated
07/08/2007
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